2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1265434948 M.D.
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ROBERT BANCO, M.D.

Orthopaedic Surgery of the Spine Physician in WELLESLEY HILLS, Massachusetts. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
201
Medicare Part D claims · 45 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
Industry payments
$23.6K
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ROBERT BANCO, M.D. is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in WELLESLEY HILLS, Massachusetts with a Medicare Part D prescribing footprint of 201 claims across 45 beneficiaries . Industry payments of $23.6K across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ROBERT BANCO, M.D. filed 201 Medicare Part D claims in 2023 across WELLESLEY HILLS, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

ROBERT BANCO, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

ROBERT BANCO, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 08/12/2005

NPI 1265434948

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

201 44% vs specialty avg

2023 prescription claims

Specialty avg: 362

Specialty distribution in Massachusetts

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Orthopaedic Surgery of the Spine Physician share within Massachusetts

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Orthopaedic Surgery of the Spine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Orthopaedic Surgery of the Spine Physician ABMS/AOA estimate

Est. board-certified rate (Orthopaedic Surgery of the Spine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Orthopaedic Surgery of the Spine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ROBERT BANCO, M.D. is a Orthopaedic Surgery of the Spine Physician provider practicing in WELLESLEY HILLS, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1265434948. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ROBERT BANCO, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding M.D. credentials at 25 WASHINGTON ST UNIT 1B, WELLESLEY HILLS, MA, 02481, with a listed phone of (617) 219-6300. NPI 1265434948 was issued on 08/12/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BANCO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 201 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 22.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

25 WASHINGTON ST UNIT 1B
WELLESLEY HILLS, MA 02481

Provider Details

NPI 1265434948
Specialty Orthopaedic Surgery of the Spine Physician
Credentials M.D.
Gender Male
NPI Issued 08/12/2005

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ROBERT BANCO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$23.6K

Largest payer

Globus Medical, Inc.

Most common payment type

Royalty or License

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to ROBERT BANCO, M.D.. To verify ROBERT BANCO, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

201
Total Claims
$3K
Total Drug Cost
45
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
227
Total Day Supply
4,023
Generic Drug Cost
$3K
Opioid Claims
45 (22.4% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
69.1 years
Avg HCC Risk Score
1.00
Gender Split
44% female / 56% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Gabapentin
33
Oxycodone Hcl
31
Tizanidine Hcl
26
Prednisone
22
Ibuprofen
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Orthopaedic Surgery of the Spine Physician Overview

How ROBERT BANCO, M.D. fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

ROBERT BANCO, M.D.'s 201 claims are below the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Massachusetts

Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as BANCO.

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROBERT BANCO, M.D.'s specialty?
ROBERT BANCO, M.D. specializes in Orthopaedic Surgery of the Spine Physician and practices in WELLESLEY HILLS, Massachusetts. Credentials: M.D..
How much does ROBERT BANCO, M.D. prescribe under Medicare Part D?
In 2023, ROBERT BANCO, M.D. wrote 201 Medicare Part D claims totaling $3K in drug costs for 45 beneficiaries.
Where is ROBERT BANCO, M.D. located?
ROBERT BANCO, M.D. is located at 25 WASHINGTON ST UNIT 1B, WELLESLEY HILLS, MA, 02481. Phone: (617) 219-6300.
What is ROBERT BANCO, M.D.'s NPI number?
ROBERT BANCO, M.D.'s National Provider Identifier (NPI) is 1265434948, issued on 08/12/2005.
Does ROBERT BANCO, M.D. prescribe opioids?
Yes, ROBERT BANCO, M.D. had 45 opioid claims in 2023 with an opioid prescribing rate of 22.4%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does ROBERT BANCO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROBERT BANCO, M.D.'s most frequently prescribed drugs include Gabapentin, Oxycodone Hcl, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT BANCO, M.D. accept Medicare?
ROBERT BANCO, M.D. appears in CMS Medicare data with 201 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT BANCO, M.D.'s credentials?
ROBERT BANCO, M.D.'s NPI is 1265434948 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology